田辉, 严钏元. 宝鸡市1990~2003年麻疹疫情分析及防制对策探讨[J]. 疾病监测, 2005, 20(1): 23-26. DOI: 10.3784/j.issn.1003-9961.2005.1.23
引用本文: 田辉, 严钏元. 宝鸡市1990~2003年麻疹疫情分析及防制对策探讨[J]. 疾病监测, 2005, 20(1): 23-26. DOI: 10.3784/j.issn.1003-9961.2005.1.23
TIAN Hui, YAN Chuan-yuan. Analsis on Epidemiological Characteristics of Measles in baoji City and Its Prevention & control.[J]. Disease Surveillance, 2005, 20(1): 23-26. DOI: 10.3784/j.issn.1003-9961.2005.1.23
Citation: TIAN Hui, YAN Chuan-yuan. Analsis on Epidemiological Characteristics of Measles in baoji City and Its Prevention & control.[J]. Disease Surveillance, 2005, 20(1): 23-26. DOI: 10.3784/j.issn.1003-9961.2005.1.23

宝鸡市1990~2003年麻疹疫情分析及防制对策探讨

Analsis on Epidemiological Characteristics of Measles in baoji City and Its Prevention & control.

  • 摘要: 目的 了解宝鸡市麻疹流行规律 ,预测流行趋势 ,制定防制对策 ,降低发病率。方法 对1990~ 2 0 0 3年麻疹发病资料进行统计分析 ;采用酶联免疫吸附试验 (ELISA)检测血清麻疹IgG抗体。结果 宝鸡市麻疹发病具有明显的周期性 ,1~ 7月份发病例数占全年总例数的 86. 2 2 % ,3~5年为一个流行周期。流行模式为散发和暴发并存 ,以散发为主 ,但局部麻疹暴发影响着全市的发病水平。不同时期年龄分布提示 ,发病年龄后移。 2 0 0 2、2 0 0 3年麻疹加权接种率为 98. 2 1% ,人群抗体阳性率为 85 . 5 0 % ,保护率为 77. 4 2 %。结论 宝鸡市麻疹接种率有虚高现象 ,保护率偏低 ,发病率有可能回升。建议应采取综合防制措施 :继续加强麻疹的常规免疫工作 ,提高麻疹疫苗有效接种率 ;在全市范围适时开展大年龄组人群的麻疹强化免疫工作 ;加强麻疹疫情监测与分析 ,对疫点及时应急处理 ,避免疫情暴发。

     

    Abstract: Objective The research project reported in this paper was designed to study the epidemio logical characteristics of measles in Baoji city in order to forecast its epidemic trend,establish interventions of prevention&treatment,and reduce its morbidity. Methods Statistical analysis was conducted on the data of measles recorded from the year l990 to 2003 in Baoji city ELISA was used to detect IgG anti body against measles in serum.Results It was found that periodic ombreaks of measles were apparent in baoji city. The number of cases reported from January to July acconntad for 86.22%of the total of the year,with an epidemic circle of 3-5 years. There were both sporadic epidemic and dramatic outbreaks of the disease,with the former being dominant. From the age dstribution of cases in different times,it was seen that the age at which the disease developed was postoned.The vaccination rate weighed in 2002 and 2003 was 98.21%. The positive rate of antibody in population was 85.5% with a protection rate of 77.42%. Conclusion There was a false high rate of measles inocculation in Baoji city. A lower protection rate means a tendency of high incidence. Thus comprehensive intervention of prevention and control should be taken,including enhancing routine vaccination continuously,improving the effective inouclation rate of measles vaccine,promoting booster vaccination of measles properly in relative high aged population in the whole city,reinforcing surveillance and analysis of epidemic situation and taking emergency actions timely in epidemic spots to avind severe outbreaks of peidemic.

     

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